Individual
ALYSSA WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
572 ROUTE 6 STE 102, MAHOPAC, NY 10541-4787
(845) 519-2295
Mailing address
190 GOLDENS BRIDGE RD STE 9, KATONAH, NY 10536-2804
(914) 893-2223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
11/11/2024
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